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psnet.ahrq.gov/node/49411/psn-pdf
July 01, 2003 - Code Status Confusion
July 1, 2003
Lo B, Tulsky JA. Code Status Confusion. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/code-status-confusion
Case Objectives
Appreciate challenges of determining goals of care in hospitalized patients
Understand patients’ common misconceptions about CPR
List typical mist…
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psnet.ahrq.gov/web-mm/hiding-plain-sight
April 24, 2019 - A second scenario might be a patient who suffers from an extensive or painful outbreak but is unable … A third and more troubling scenario is when the diagnosis is missed by health care providers—as in the
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psnet.ahrq.gov/basic-page/ucsf-cmeceu-trainee-certification
June 30, 2021 - Each case scenario in this activity is inclusive of 1 AMA PRA Category 1 Credit ™.
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psnet.ahrq.gov/node/40618/psn-pdf
August 27, 2012 - Predictors of likelihood of speaking up about safety
concerns in labour and delivery.
August 27, 2012
Lyndon A, Sexton B, Simpson KR, et al. Correction. BMJ Qual Saf. 2011;22(2):791-799.
doi:10.1136/bmjqs.2010.050211.
https://psnet.ahrq.gov/issue/predictors-likelihood-speaking-about-safety-concerns-labour-and-deli…
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psnet.ahrq.gov/node/45121/psn-pdf
September 27, 2016 - Factors influencing a nurse's decision to question
medication administration in a neonatal clinical care unit.
September 27, 2016
Aydon L, Hauck Y, Zimmer M, et al. Factors influencing a nurse's decision to question medication
administration in a neonatal clinical care unit. J Clin Nurs. 2016;25(17-18):2468-77.
do…
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psnet.ahrq.gov/node/42855/psn-pdf
February 06, 2014 - Responding to clinicians who fail to follow patient safety
practices: perceptions of physicians, nurses, trainees,
and patients.
February 6, 2014
Driver TH, Katz PP, Trupin L, et al. Responding to clinicians who fail to follow patient safety practices:
perceptions of physicians, nurses, trainees, and patients. J H…
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psnet.ahrq.gov/node/50754/psn-pdf
December 18, 2019 - Steinberg, MD, CMD, HMDC, and Thaddeus Mason Pope, JD, PhD
There were several errors in this case scenario … Since no instructional advance directive can possibly predict
the nuances of every possible scenario
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psnet.ahrq.gov/innovation/critical-care-resource-nurse-team-patient-safety-and-quality-outcomes-model
July 23, 2024 - EMERGING INNOVATIONS
Critical care resource nurse team: a patient safety and quality outcomes model.
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November 16, 2022
Rapid response …
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psnet.ahrq.gov/innovation/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
September 08, 2021 - The Safer Dx Instrument is designed to retrospectively determine whether a clinical scenario involved
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psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
June 01, 2018 - lack of intraoperability between the pediatric-specific intubation equipment (Broselow) used for the scenario … correctly using such a system.( 11,12 )
The problem with the intubation equipment described in the scenario
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psnet.ahrq.gov/node/49538/psn-pdf
June 01, 2007 - depression, unexpected positive human immunodeficiency virus (HIV)
status, and—as described in this scenario—finding … In this scenario, a plan of
action might include prompt timing for analysis of the data and communication
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psnet.ahrq.gov/web-mm/customer-always-right
January 22, 2014 - Is there a system fix that would have prevented this scenario?
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psnet.ahrq.gov/node/49528/psn-pdf
January 01, 2015 - Is there a system fix that would have prevented this scenario?
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - SPOTLIGHT CASE
Code Status Confusion
Citation Text:
Lo B, Tulsky JA. Code Status Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 XML EndN…
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psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
January 29, 2021 - Airway obstruction in a patient who is already intubated is an uncommon but very dangerous clinical scenario … malfunction, severe bronchospasm, and tension pneumothorax are other potential causes of for this clinical scenario … previous WebM&M commentary , using a video-laryngoscope is the intubation technique of choice in this scenario
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psnet.ahrq.gov/node/43712/psn-pdf
December 03, 2014 - How context affects electronic health record–based test
result follow-up: a mixed-methods evaluation.
December 3, 2014
Menon S, Smith MW, Sittig DF, et al. How context affects electronic health record-based test result follow-
up: a mixed-methods evaluation. BMJ Open. 2014;4(11):e005985. doi:10.1136/bmjopen-2014-00…
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psnet.ahrq.gov/node/49551/psn-pdf
December 01, 2007 - The Commentary
This case scenario describes an incident in which a case of extravasation injury was … This clinical scenario was fortunately associated with no significant burn injury.
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - Steinberg, MD, CMD, HMDC, and Thaddeus Mason Pope, JD, PhD There were several errors in this case scenario … Since no instructional advance directive can possibly predict the nuances of every possible scenario
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - patients in pediatric residency training in palliative care: anatomy of a standardized patient case scenario … a surprising number of times people do things that you didn't expect even after you've run the same scenario … happening to both maintain realism of the simulator's response as well as to be able to debrief the scenario
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.350_slideshow.ppt
June 01, 2015 - physicians were 10% more likely to list coronary heart disease as their initial impression for a chest pain scenario … if the scenario was framed by the statement that another doctor thought that the patient might have